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General NPI Number Information
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NPI Number | 1851986152
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Entity Type | Organization
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Legal Business Name | LARK BEHAVIOR GROUP INC.
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 18200 RINALDI PL
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City | PORTER RANCH
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State | CA
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Zip | 91326-2551
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Country | US
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Telephone | 818-916-0295
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Fax |
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Provider Business Mailing Address
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Address Line | 9250 RESEDA BLVD UNIT 10082
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3142
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Country | US
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Telephone | 818-916-0295
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | SHOGIK MARTIROSYAN
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Credential | MS
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Telephone | 424-354-3731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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